| Organization Name: | ASSURANCE CARE SERVICES INC. |
| NPI Number: | 1386856482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REPUNDA MIMS BALL (ADMINISTRATOR) |
| Mailing Address: | 4908 Monkhouse Dr Shreveport |
| State: | LA US |
| Postal Code: | 711096114 |
| Phone Number: | 3186317583 |
| Fax Number: | 3186358514 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 05/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 10737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |